2011-08-12T07:43:34-05:00 2010-09-30 LarsonAllen LLP 4099 Tamiami Trail N Ste 300 Naples FL 34103 990 2009-10-01 593544102 BONITA COMMUNITY HEALTH CENTER inc BONI 2399491050 3501 HEALTH CENTER BLVD BONITA SPRINGS FL 34135 Suzanne Bradach 2399491050 2011-08-09 1 Amelia Cooper CPA 2392628686 2011-08-09 2009 2016-02-24 21:20:13Z Suzanne Bradach 3501 HEALTH CENTER BLVD BONITA SPRINGS FL 34135 8167855 0 X www.bonitahealthcenter.com X 1998 FL To provide quality and comprehensive healthcare in a caring environment to the communities of Bonita Springs and Estero. 8 8 104 35 0 0 2229473 5691193 4900896 53376 154 -692457 -392965 5052112 6737558 0 0 3413975 2901114 0 0 5068373 4345965 8482348 7247079 -3430236 -509521 19666117 18504478 28989013 28154052 -9322896 -9649574 Our mission is to provide quality and comprehensive healthcare in a caring environment to the communities of Southwest Florida through the collective efforts of Lee Memorial Healthcare System and the NCH Healthcare System.The Bonita Community Health Center was established as a partnership between two of the most experienced and respected names in Southwest Florida healthcare: Lee Memorial Health System and NCH Healthcare System. As a result, the facility is a comprehensive diagnostic, treatment, rehabilitation and surgical center specifically designed with our patients' care and comfort in mindEquipped with the latest technology, our state-of-the-art center provides a wide spectrum of health services and programs. In addition to a walk-in clinic, physician referral and patient education areas, the Bonita Community Health Center offers a one-stop center that caters to all facets of healthcare. 0 0 5849698 4507931 Bonita Community Health Center, Inc. ("BCHC") is a nonprofit organization which means revenue generated gets reinvested back into the community in terms of improved equipment, services, and facilities. BCHC develops and provides an operation of comprehensive diagnostic treatment and surgical healthcare facility serving the Bonita Springs and Estero communities. Examples include urgent care clinic, radiology services, and a rehabilitation center. Equipped with the latest technology, our state-of-the-art center provides a wide spectrum of health services and programs. In addition to a walk-in clinic, physician referral and patient education areas, the Bonita Community Health Center offers a one-stop center that caters to all facets of healthcare. There are over 50 primary and specialty care physicians under one roof serving approximately 30,000 patients throughout the community. 5849698 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 11 0 104 1 0 0 0 0 0 0 0 0 0 8 8 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X Gene Higgins CFO 2399491050 3501 Health Center Blvd Bonita Springs FL 34135 Michael Riley 2.00 X 0 194864 31815 Vicki D Orr 2.00 X 0 300371 33494 Kevin D Cooper 2.00 X 0 304306 26597 Noble Arrington 2.00 X 0 150139 21402 Suzanne Bradach 40.00 X X 0 173231 8662 Kevin Newingham 2.00 X 0 178126 8906 David Cato 2.00 X 0 132393 6620 Mike German 2.00 X 0 194920 9746 Bertrand Gene Higgins 40.00 X 108597 0 8454 Michael Mastej 40.00 X 178726 0 5500 Jean Auger 40.00 X 103002 0 200 390325 1628350 161396 3 0 1 0 Naples Radiology PO Box 8089 Naples FL 341018089 Radiology Services 353441 Lee Memorial Health Systems 636 Del Prado Blvd Cape Coral FL 33990 Physician Services 202302 Collier Anesthesia PA 1336 Creekside Blvd Suite 1 Naples FL 34108 Anesthesia Services 161969 Naples Community Hospital PO Box 413001 Naples FL 34101 Physician Services 136170 Coronet Clearing Services LTD 1876 SW 11th Terrace 204 Miami FL 33135 Janitorial Services 103846 5 2229473 2229473 Patient Services 990999 4900896 4900896 4900896 154 154 1037332 1430297 -392965 -392965 -392965 6737558 4507931 0 154 149007 149007 2203903 1816189 387714 26512 18753 7759 382328 271654 110674 139364 132967 6397 61617 41283 20334 21751 14573 7178 732343 719922 12421 171879 112437 59442 193444 87330 106114 270788 254165 16623 2837 1335 1502 695833 466208 229625 619403 411610 207793 85546 57316 28230 Supplies 520848 520848 0 Lease on Equipment 354366 350790 3576 Equipment Service Contr 303969 293071 10898 Bad Debt Allowance 131719 131719 0 Software License Fees 75824 50802 25022 103798 96726 7072 7247079 5849698 1397381 0 350 250 205078 402391 415342 136127 128819 85136 110577 26728174 9518537 17994526 17209637 169134 673375 639853 19666117 18504478 727916 720285 6315000 6110000 19716829 19278093 2229268 2045674 28989013 28154052 X -9322896 -9649574 -9322896 -9649574 19666117 18504478 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2520020 2520020 13277676 3120208 10157468 5333158 1329797 4003361 5105338 4751560 353778 491982 316972 175010 17209637 Interest Rate Swap Obligation 1899552 Interest Payable 94364 Tenant Deposits 10556 Due to Naples Radiology 32652 Other Deposits 8550 2045674 6737558 7247079 -509521 182843 182843 -326678 8350698 182843 182843 8167855 -1430297 -1430297 6737558 8677376 1430297 1430297 7247079 0 7247079 Part X: Description of Uncertain Tax Positions Under FIN 48: The organization has been recognized by the Internal Revenue Service (IRS) as a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Should that status be challenged in the future, the Organization's 2007 to 2009 tax years are open for examination by the IRS. Part XI, Line 8 - Other Adjustments: Change in Fair Value of Interest Rate Swap: 182843. Part XII, Line 2d - Other Adjustments: Change in Fair Value of Interest Rate Swap: 182843. Part XII, Line 4b - Other Adjustments: Rental Expesnes: -1430297. Part XIII, Line 2d - Other Adjustments: Rental expenses: 1430297. X X 0 0 0 0 0 0 0 0 0 Michael Riley 0 182631 0 4335 0 7898 0 7926 0 23889 0 226679 0 0 Vicki D Orr 0 267303 0 68 0 33000 0 9800 0 23694 0 333865 0 0 Kevin D Cooper 0 271238 0 68 0 33000 0 20186 0 6411 0 330903 0 0 Noble Arrington 0 124198 0 3658 0 22283 0 6320 0 15082 0 171541 0 0 Suzanne Bradach 0 173231 0 0 0 0 0 8662 0 0 0 181893 0 0 Kevin Newingham 0 178126 0 0 0 0 0 8906 0 0 0 187032 0 0 Mike German 0 194920 0 0 0 0 0 9746 0 0 0 204666 0 0 Michael Mastej 178726 0 0 0 0 0 907 0 4593 0 184226 0 0 0 Form 990, Part VI, Section A, line 2 Business Relationship Noble Arrington NCH Director Employee Suzanne Bradach Lee Memorial Director Employee Kevin Newingham Lee Memorial Director Employee David Cato Lee Memorial Director Employee Kevin Cooper NCH Director Employee Michael Riley NCH Director Employee Vicki Orr NCH Director Employee Mike German Lee Memorial Director Employee Form 990, Part VI, Section B, line 11 The Organization sends a PDF copy of the Form 990 to the Board of Directors for review. Any feedback is sent to the CFO for discussion prior to filing with the IRS. Form 990, Part VI, Section B, line 12c The conflict of interest policy is reviewed by the Board every year and signed by the chairperson. it states a full disclosure of all facts pertaining to any transaction that is subject to a conflict of interest shall be made. Form 990, Part VI, Section B, line 15 The CEO is a loaned executive from the Lee Memorial Health System. The CEO pay is determined based on market surveys and is approved by the LMHS Board of Directors. Compensation process for officers pay is determined based on market surveys and approval by the CEO. Form 990, Part VI, Section C, line 19 The organization does not make its governing documents, conflict of interest policy, and financial statements available to the public. Form 990, Part XI, Line 2c: Financial Committee The organization has not changed the oversight process or selection process during the tax year regarding the financial committee. NCH Healthcare System Inc PO BOX 413029 Naples FL 341013029 592314655 Holding Company FL 501(c)(3) 8,11 N/A Lee Memorial Health System 2776 Cleveland Avenue Fort Myers FL 33901 590714812 Acute Care Hospital FL 501(c)(3) 6 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NCH Healthcare System C 1114736 Lee Memorial Health System C 1114736